RULE OF THUMB Tension pneumothorax is a clinical diagnosis made at the bedside in more than 50% of cases. A pneumothorax is when air gets into the space between the outside of your lung and the inside of your chest wall, your ribcage. Pneumothorax What is a pneumothorax? According to the Oxford Concise Medical Dictionary, a pneumothorax can be defined as \"Air in the pleural cavity\". Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource. - 1. The wound treat- ment involves common surgical procedures (1, 23) (Figure 5). - Pneumothorax (7) Secondary Ptx: due to underlying pulmonary disease COPD / Asthma / Cystic Fibrosis Immunocompromised Infections Tb & Cocci PCP (becoming more common ... Assessment, management and decision making in the treatment of polytrauma patients with head injury, DCO, - Assessment, management and decision making in the treatment of polytrauma patients with head injury, DCO Heather A. Vallier, M.D. Bullous disease, which was encountered at the time of surgery, proved impossible to manage using a video-assisted approach. Differentiating a pneumothorax from complex bullous lung disease. Since that time he has had no further episodes of pneumothorax. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. (The pleural space is a cavity formed by the two pleural membranes that line the thoracic cavity and cover the lungs.) Any focal ... - APPROACH TO TRAUMA UNC Emergency Medicine Medical Student Lecture Series Simple Pneumothorax Tension Pneumothorax How do you treat this? Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. 4. A small pneumothorax may cause few or no symptoms. Surgical Management of Primary Spontaneous Pneumothorax The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The methods for achieving these goals depend on the severity of the lung collapse and sometimes on your overall health. Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. Of the 25 of 252 patients in whom observational management failed, 23 had a large chest drain inserted and two went on to have thoracic surgery (rib fixation with hemothorax evacuation). It's FREE! The standard management should be multidisciplinary and preferably initiated at the accident site and maintained through patient transportation, during the arrival to emergency room, during transport to surgery, in the operating room and then in ICU. A pneumothorax is a collection of air between the parietal and visceral pleura. 2. VATS bullectomy and pleurectomy is the preferred operation, with the addition of talc insufflations in patients over 50 years of age. The term ‘pneumothorax’ was first coined by Itard and then Laennec in 1803 and 1819 respectively,1 and refers to air in the pleural cavity (ie, interspersed between the lung and the chest wall). Most simply, a pneumothorax can be either primary or secondary: 1. Incorrect tube placement is suspected. 1. Up to 70% of patients will ultimately develop at least one pneumothorax in their lifetime and this is often the first sign of LAM. Am J Surg 1992; 164: 467. Professor of Orthopaedic Surgery. The air buildup puts pressure on the lung(s), so it cannot expand as much as it normally. between visceral and parietal pleura) The air enters via a defect in the visceral pleura (e.g. Median sternotomy is a suitable approach where bilateral pneumothorax must be treated. The PowerPoint PPT presentation: "Management of Secondary Spontaneous Pneumothorax" is the property of its rightful owner. Many mechanisms have been suggested to explain the pathogenesis of pneumothorax in WG. 3. Clipping is a handy way to collect important slides you want to go back to later. Surgical management of pneumothorax: still sailing with no . At that time, most cases of pneumothorax were secondary to tuberculosis, although some were recognised as occurring in otherwise healthy patients (‘pneumothorax simple’). VATS Treatment of Spontaneous Pneumothorax. Pneumothorax, a major and potential fatal complication of mechanical ventilation, can further complicate the management of COVID-19 patients, whilst chest drain insertion may increase the risk of transmission of attending staff. Many of them are also animated. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. Pneumothorax is the medical term for a collapsed lung. The pressure in the pleural space is normally negative. Trachea. Causes of Respiratory Difficulty & Distress ... Lower Airway Anatomy. Autoimmune disorders that may lead to a pneumothorax include ankylosing spondylitis, rheumatoid arthritis, scleroderma, and sarcoidosis. That's all free as well! Emergent decompression of a tension pneumothorax can be accomplished by placing a 14 – 16 gauge IV catheter into the 2nd rib space at the mid-clavicular line.